Daphney Baldovi

Individual provider Active NPI Behavior Technician · Aiea, HI

NPI 1104620145 · NPPES record last updated Apr 1, 2025

Key facts

NPI
1104620145
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
98-211 Pali Momi St Ste 520
Aiea, HI 96701-4328
Phone
(855) 223-7123
NPI assigned
Apr 1, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

98-211 Pali Momi St Ste 520
Aiea, HI 96701-4328

Mailing address

PO Box 33568
San Diego, CA 92163-3568
Phone (855) 223-7123

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 1, 2025.

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1104620145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33568",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921633568",
            "telephone_number": "855-223-7123",
            "fax_number": "619-374-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST STE 520",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014328",
            "telephone_number": "855-223-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDOVI",
        "first_name": "DAPHNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

All providers in Aiea, HI · Behavior Technician in Hawaii

Sources for this page

Verify at the official NPI Registry.